Coding Compliance Auditor

🔥 12 hours ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Memorial Hermann Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🏥 Healthcare

🧘 Wellness

💰 $5M Grant on 2022-08

Healthcare Insurance • Healthcare • Wellness

Memorial Hermann Health System is a comprehensive healthcare organization that provides a wide range of medical services, including cancer care, cardiovascular services, emergency and trauma care, women’s health, and surgical services. With the largest network of emergency centers in Greater Houston, it focuses on delivering advanced healthcare and wellness programs tailored to individual needs. Memorial Hermann is committed to advancing health equity and enhancing community health through its various medical facilities and services.

📋 Description

• Ensure the accuracy and completeness of clinical coding for appropriate reimbursement, data integrity, and validation of coded information • Conduct regular coding audits and coordinate ongoing monitoring of coding accuracy • Provide continuous feedback to coding staff • Develop and coordinate educational sessions for coding staff regarding documentation and accurate coding • Serve as a resource on organization-wide coding and documentation standards and guidelines • Design audit tools to monitor clinical coding accuracy • Keep abreast of coding guidelines and reimbursement reporting requirements • Conduct trend analyses to identify patterns and variations in coding practices • Abide by AHIMA Standards of Ethical Coding and official coding guidelines • Ensure safe care and adhere to Memorial Hermann policies, procedures, and standards • Promote professional growth and development through mandatory/continuing education and skills competency • Support department-based goals and serve as a preceptor, mentor, and resource to less experienced staff • Create compassionate, personalized, safe, and efficient experiences for patients and colleagues • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED, required • Inpatient: RHIT, RHIA, CCA, CCS, or CIC coding certification from AHIMA or AAPC required • Outpatient: RHIT, RHIA, or relevant coding certification from AHIMA or AAPC required • Four (4) years of relevant hospital coding or auditing experience required • Experience coding/auditing in a level 1 trauma facility/academic teaching facility strongly preferred • Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines • Extensive knowledge of 3M Coding applications and resolving coding edits • Working knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing • Knowledge of database applications and spreadsheet design • Effective oral and written communication skills • Must demonstrate knowledge and skills necessary to provide care appropriate to the patient served • Must demonstrate knowledge of the principles of growth and development as they relate to different life cycles

🏖️ Benefits

• Full-time employment • Mandatory/continuing education and skills competency support • Professional growth and development opportunities • Preceptor, mentor, and resource opportunities